Position the Sager S301 between the patient’s legs, resting the Ischial Perineal Cushion (the saddle) against the Ischial Tuberosity, with the shortest end of the Articulating Base towards the ground.

When positioning, note that the Pulley Wheel should be on the same side and towards the injured limb. Apply the Abductor Bridle (thigh strap) around the upper thigh of the fractured limb. Push the Ischial Perineal Cushion gently down while at the same time pulling the thigh strap laterally under the patient’s thigh. This will seat the lower end of the cushion comfortably against the Ischial Tuberosity. Tighten the thigh strap lightly. Lift the Spring Clip to extend the inner shaft until the Pulley (Traction) Wheel is adjacent to the patient’s heels.

Note the absence or presence of distal pulses, check for sensation. Position the Malleolar Harness (ankle harness) beneath the heels(s) and just above the ankle. Fold down the number of comfort cushions needed to engage all of the ankle above the medial and lateral Malleoli.

Using the attached hook and loop straps wrap the ankle harness around the ankle to secure snugly. Pull control tabs on the ankle harness to shorten the Ankle sling, pulling it up against the sole of the foot. Apply QUANTIFIABLE, DYNAMIC TRACTION™. Extend the splint shaft to achieve the amount of traction desired, while observing the amount registered on the Traction Scale. It is suggested to use 10% of the patient’s body weight per fractured Femur up to 7kg (15 pounds). At the hollow of the knees, gently slide the large elastic Leg Cravat through and upwards to the thigh repeating with the smaller cravats to minimize lower and mid-limb movement.

Adjust the thigh strap at the upper thigh making sure it is not too tight but snug and secure, then firmly secure the elastic Leg Cravats.

Apply the Pedal Pinion (figure 8 strap) around the feet to prevent rotation. Note the absence or presence of distal pulses, check for sensation. Patient is now ready for transport.